FDA Adverse Event Summary report: N

MECHANICAL CHAIR/TRANSPORT CHAIR

MDR report key: 3903303 · Received June 30, 2014

Report

Report Number
1531186-2014-02297
Date Received
June 30, 2014
Date of Event
May 29, 2014
Report Date
May 29, 2014
Manufacturer
DANYANG MAXTHAI MEDICAL EQUIPMENT
Product Code
INM
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

THE FOOTPLATE ON A ALB19HBFR TRANSPORT CHAIR IS BROKEN..

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
379479 MECHANICAL CHAIR/TRANSPORT CHAIR 890.3100 INM DANYANG MAXTHAI MEDICAL EQUIPMENT ALB19HBFR

Patients

Seq Age Sex Outcome Treatment
1 Other